Active NPI
Bryan David Douglas, D.C.
- Chiropractor
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 9788
- Practice address
- 778 S US 1
Vero Beach, FL 32962-4701 - Phone
- (772) 567-4661
- Fax
- (772) 567-4641
- NPI assigned
- Oct 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 9788 | FL | Primary |
Addresses
Primary practice location
778 S US 1
Vero Beach, FL 32962-4701
Mailing address
1550 SE Wilshire PL Apt 103
Stuart, FL 34994-5780
Phone (772) 834-9467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 43Rd Ave
Suite a
Vero Beach, FL 32960-0531
Phone (772) 460-9000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 9788 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Chiropractic & Health Center, Inc. | Chiropractor | Current | Accepting new patients |
| BDDC Consulting LLC | Chiropractor | Past | Accepting new patients |
Locations
805 Virginia Ave
Ste 11
Fort Pierce, FL 34982
Phone (772) 460-9000
805 Virginia Ave
Ste 10
Fort Pierce, FL 34982
Phone (561) 972-4645
725 Commerce Center Dr
Ste D
Sebastian, FL 32958
1800 43rd Ave
Ste A
Vero Beach, FL 32960
Phone (772) 258-4660
Networks
- AL HMO
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- FL HMO D-SNP
- FL PPO
- FL HMO
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- FL HMO C-SNP
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- AL HMO D-SNP
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Fort Pierce, FL
- NPI 1407929557
-
- Chiropractor
- Vero Beach, FL
- NPI 1679133805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1013243245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 SE WILSHIRE PL APT 103",
"city": "STUART",
"state": "FL",
"postal_code": "349945780",
"telephone_number": "772-834-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 S US 1",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329624701",
"telephone_number": "772-567-4661",
"fax_number": "772-567-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "BRYAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-22",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 9788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.